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1912167933

NPI Code Detail

MEDICARE: RACHEL M BERKOVICH MD

MEDICARE: RACHEL M BERKOVICH MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085N0700X	Neuroradiology Physician	73479	AZ
2	2085P0229X	Pediatric Radiology Physician	04-43360	KS
3	2085P0229X	Pediatric Radiology Physician	2020022064	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1912167933
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL M BERKOVICH MD

Provider Business Mailing Address
First Line	:	2108 E THOMAS RD STE 130
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85016-0008
Country	:	US
Telephone Number	:	602-933-3124
Fax Number	:

Provider Business Practice Location Address
First Line	:	2401 GILLHAM RD
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64108-4619
Country	:	US
Telephone Number	:	816-234-3000
Fax Number	:	816-302-9939

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/12/2008
Last Update Date	:	12/11/2025

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1396234308 — DR. KATHERINE MICHELLE BROWN MD
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Directions to “ RACHEL M BERKOVICH MD” Practice Location

Language	Start Address	Practice Location

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